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Use quilted pads with plastic on one side (available at CVS, most drugstores, and Amazon). The largest size should be put on sideways right beneath the patient's hips and be UNDER the bottom sheet, hanging down over the side of the mattress about six inches to protect both the top and side of the mattress. Another one should be under the patient's hips but on TOP of the bottom sheet. If one or both get wet, it's fairly easy to take them off and wash them, but you'll need at least four pads so there's always a new one ready.
Then follow the advice of some people who have already commented and experiment with various adult diapers, etc. to find the best combination. I found diapers to be far better than pull-ups because they hold more. This is especially important at night.
If the patient is always in bed, it might be wise to dispense with pajama bottoms and let him only wear the diapers. Fewer layers mean less to wash, assuming that he's still warm enough with only the bed covers.
Have him checked for a urinary infection (extremely common among older people). Remind him to try to use the urinal every hour or so. Limit all fluids several hours before bedtime so you'll be changing bed linens less often at night.
This, too, shall pass. Incontinence presents one of the more difficult aspects of caregiving. I used to do at least six loads of laundry every single day for months on end. It completely wore out the washing machine, which finally broke about two weeks after my loved one died. But just do the best you can.
Best way to economise is to buy in bulk online.
I did this for a care client I had who was totally incontinent.
Baby diapers are made differently then adult ones are. You do try this and his bedding will be dry as a bone even overnight.
Also, try waterproof sofa bed mattress pads. They don't have the extra fabric for the sides, just elastic. They are bigger, cheaper, and can be laundered daily.
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